Hawaii Medicaid

Welcome to the ACS EDI Gateway’s Home Page for Hawaii Medicaid!

ACS EDI Gateway, Inc. accepts electronic claims transactions for Hawaii Medicaid using WINASAP2003.

Electronic Transactions Available for Hawaii Medicaid

  • 837 Professional
  • 837 Institutional

You may direct inquiries to the ACS EDI Support Unit, Monday through Friday, 8 a.m. – 5 p.m. Hawaii-Aleutian Time Zone, at 888.333.5641.

Important Enrollment Information (PLEASE READ):

All Hawaii Medicaid Electronic Submitters must complete new EDI Enrollment Forms along with an EDI Trading Partner Agreement before submitting X12N transactions. To access these forms, please click “EDI Enrollment” below to be redirected to the Hawaii Enrollment site.

To receive a Trading Partner ID and logon information, please complete and return the ACS EDI Gateway Enrollment Packet for Hawaii Medicaid.

For questions regarding the ACS EDI Gateway Enrollment Packet, please contact our EDI Support Unit, Monday-Friday at:

EDI Provider Enrollment Packet for X12N Transactions

This packet consists of the following documents:

  • EDI Provider Enrollment Form

5010 Companion Guides

Companion Guides are intended for trading partner use in conjunction with the ANSI ASC X12N National Implementation Guide. The ANSI ASC X12N Implementation Guides can be accessed at HIPAA EDI Implementation Guides.

The companion guides below outline the procedures necessary for engaging in Electronic Data Interchange (EDI) with ACS EDI Gateway, Inc. and specifies data clarification where applicable.

  • ANSI ASC X12N Hawaii Waiver Medicaid Companion Guide 1.00
  • ANSI ASC X12N Hawaii Fee For Service Medicaid Companion Guide 1.00

WINASAP5010 Software

The WINASAP5010 software has moved. Please visit the WINASAP5010 page by clicking on the WINASAP5010 tab above or clicking here.

WINASAP5010 Manuals

The WINASAP5010 Manual and Quick Reference Guides have moved. Please visit the WINASAP5010 page by clicking on the WINASAP5010 tab above or clicking here.